University of Oulu

van Iersel, M., de Vos, R., Latour, C., Kirschner, P., Scholte op Reimer, W. (2018) The Scale on COmmunity care PErceptions (SCOPE) for nursing students: A development and psychometric validation study. Nurse Education in Practice, 31, 61-67. doi:10.1016/j.nepr.2018.05.002

The Scale on COmmunity care PErceptions (SCOPE) for nursing students : a development and psychometric validation study

Saved in:
Author: van Iersel, Margriet1; de Vos, Rien2; Latour, Corine1;
Organizations: 1ACHIEVE - Centre of Applied Research, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, the Netherlands
2Centre of Evidence Based Education, Academic Medical Centre, Amsterdam, the Netherlands
3Open University of the Netherlands, Heerlen, the Netherlands
4University of Oulu, Oulu, Finland
5Department of Cardiology, Academic Medical Centre, Amsterdam, the Netherlands
Format: article
Version: published version
Access: open
Online Access: PDF Full Text (PDF, 0.6 MB)
Persistent link:
Language: English
Published: Elsevier, 2018
Publish Date: 2019-06-25


The aim of this study was to develop a valid instrument to measure student nurses’ perceptions of community care (SCOPE). DeVellis’ staged model for instrument development and validation was used. Scale construction of SCOPE was based on existing literature. Evaluation of its psychometric properties included exploratory factor analysis and reliability analysis. After pilot-testing, 1062 bachelor nursing students from six institutions in the Netherlands (response rate 81%) took part in the study. SCOPE is a 35-item scale containing: background variables, 11 measuring the affective component, 5 measuring community care perception as a placement, 17 as a future profession, and 2 on the reasons underlying student preference. Principal axis factoring yielded two factors in the affective component scale reflecting ‘enjoyment’ and ‘utility’, two in the placement scale reflecting ‘learning possibilities’ and ‘personal satisfaction’, and four in the profession scale: ‘professional development’, ‘collaboration’, ‘caregiving’, and ‘complexity and workload’. Cronbach’s α of the complete scale was 0.892 and of the subscales 0.862, 0.696, and 0.810 respectively. SCOPE is a psychometrically sound instrument for measuring students’ perceptions of community care. By determining these perceptions, it becomes possible to positively influence them with targeted curriculum redesign, eventually contributing to decreasing the workforce shortage in community nursing.

see all

Series: Nurse education in practice
ISSN: 1471-5953
ISSN-E: 1873-5223
ISSN-L: 1471-5953
Volume: 31
Pages: 61 - 67
DOI: 10.1016/j.nepr.2018.05.002
Type of Publication: A1 Journal article – refereed
Field of Science: 316 Nursing
Funding: This study was funded by ZonMw, the Netherlands Organisation for Research and Development, dossier number: 80-80705-98-032 and by NWO, the Netherlands Organisation for Scientific Research, project number 023.010.044.
Copyright information: © 2018 The Authors. Published by Elsevier Ltd. This is an open access article under the CC BY-NC-ND license (